{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:16:48Z","timestamp":1789150608340,"version":"build-2803163510"},"reference-count":74,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Micronutrient deficiencies affect over half of young children and two\u2010thirds of reproductive\u2010aged women worldwide. Nutrition\u2010sensitive agriculture interventions have the potential to increase nutrient\u2010dense food intake and thus improve micronutrient status. We evaluated the impact of a homestead food production (HFP) programme on micronutrient status and anaemia of women and their children (registered secondary outcomes) in the Food and Agricultural Approaches to Reducing Malnutrition (FAARM) trial, additionally assessing its impact on inflammation. We conducted a 1:1 parallel two\u2010arm cluster\u2010randomized controlled trial in Sylhet, Bangladesh, with 96 clusters. The 3\u2010year HFP intervention included gardening, poultry, nutrition, and hygiene components. In 2015, we conducted the baseline survey. We enrolled 2705 women and their children up to 3 years of age, and in 2019, we evaluated impacts on anaemia, iron, vitamin A, zinc and inflammation status through blood measures of these women (aged 19\u201344 years) and their 6\u2010 to 37\u2010month\u2010old children, using multilevel regression. Anaemia was common (nonpregnant women: 20%, pregnant women: 35%, children: 16%), while iron deficiency was rare among nonpregnant women (3%), 12% among pregnant women and 20% among children. Vitamin A deficiency ranged from 1% to 5%, and zinc deficiency was very common (nonpregnant women: 43%, pregnant women: 69%, children: 25%). We found no evidence of an intervention impact on micronutrient status, anaemia or inflammation among the 2483 women and 930 children measured. The moderate improvements in dietary intake achieved by the intervention were thus not sufficient, and more substantial hygiene improvements and targeted dietary changes may be needed to improve micronutrient status. This trial was registered at <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/\">Clinicaltrials.gov<\/jats:ext-link> (NCT02505711).<\/jats:p>","DOI":"10.1111\/mcn.70043","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T09:09:17Z","timestamp":1747645757000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impacts of a Homestead Food Production Intervention on Anaemia and Micronutrient Deficiencies Among Women and Children in Rural Bangladesh: A Cluster\u2010Randomized Controlled Trial"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6019-1900","authenticated-orcid":false,"given":"Amanda S.","family":"Wendt","sequence":"first","affiliation":[{"name":"Research Department 2 Potsdam Institute for Climate Impact Research (PIK), Member of the Leibniz Association Potsdam Germany"},{"name":"Heidelberg Institute of Global Health Heidelberg University Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7668-4179","authenticated-orcid":false,"given":"Jillian L.","family":"Waid","sequence":"additional","affiliation":[{"name":"Research Department 2 Potsdam Institute for Climate Impact Research (PIK), Member of the Leibniz Association Potsdam Germany"},{"name":"Heidelberg Institute of Global Health Heidelberg University Heidelberg Germany"},{"name":"Helen Keller International, Bangladesh Country Office Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8031-2404","authenticated-orcid":false,"given":"Anna A.","family":"M\u00fcller\u2010Hauser","sequence":"additional","affiliation":[{"name":"Research Department 2 Potsdam Institute for Climate Impact Research (PIK), Member of the Leibniz Association Potsdam Germany"},{"name":"Heidelberg Institute of Global Health Heidelberg University Heidelberg Germany"},{"name":"Institute of Public Health, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4253-7063","authenticated-orcid":false,"given":"Nathalie J.","family":"Lambrecht","sequence":"additional","affiliation":[{"name":"Research Department 2 Potsdam Institute for Climate Impact Research (PIK), Member of the Leibniz Association Potsdam Germany"},{"name":"Institute of Public Health, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9934-0739","authenticated-orcid":false,"given":"Tarique Md. Nurul","family":"Huda","sequence":"additional","affiliation":[{"name":"Environmental Interventions Unit, Infectious Diseases Division icddr,b Dhaka Bangladesh"},{"name":"Department of Public Health, College of Applied Medical Sciences Qassim University Buraydah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3811-9950","authenticated-orcid":false,"given":"Nicholas N. A.","family":"Kyei","sequence":"additional","affiliation":[{"name":"Research Department 2 Potsdam Institute for Climate Impact Research (PIK), Member of the Leibniz Association Potsdam Germany"},{"name":"Heidelberg Institute of Global Health Heidelberg University Heidelberg Germany"},{"name":"Institute of Public Health, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7081-0506","authenticated-orcid":false,"given":"Sabine","family":"Gabrysch","sequence":"additional","affiliation":[{"name":"Research Department 2 Potsdam Institute for Climate Impact Research (PIK), Member of the Leibniz Association Potsdam Germany"},{"name":"Heidelberg Institute of Global Health Heidelberg University Heidelberg Germany"},{"name":"Institute of Public Health, Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin and Humboldt\u2010Universit\u00e4t zu Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12794"},{"key":"e_1_2_11_3_1","volume-title":"Dietary Diversity as a Measure of the Micronutrient Adequacy of Women's Diets In Resource\u2010Poor Areas: Summary of Results From Five Sites","author":"Arimond M.","year":"2011"},{"key":"e_1_2_11_4_1","volume-title":"Worldwide Prevalence of Anaemia 1993\u20132005: WHO Global Database on Anaemia","author":"Benoist B.","year":"2008"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61693-6"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3026(24)00030-9"},{"key":"e_1_2_11_7_1","unstructured":"BRAC James P Grant School of Public Health National Nutrition Services.2019. 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